腹部闭合性多脏器损伤的诊治体会

目的：探讨如何提高腹部闭合性多脏器损伤的救治成功率。方法：对218例腹部闭合性多脏器损伤临床资料进行回顾性分析。结果：治愈197例，死亡21例，总病死率9.63%；其中，死于失血性休克9例，多器官功能衰竭（MOF）6例，严重感染4例，颅脑和胸部损伤2例。术后发生各种并发症48例次。结论：早期正确诊断是提高疗效的关键，积极抗体克和合理手术是改善预后的根本措施，围手术期注意保护重要脏器功能有助于预防MOF的发生。

Diagnosis and treatment of closed multiple organ injuries in abdomen

Objective:To study how to increase the success rate of emergency treatment of closed multiple organ injuries in abdomen.Methods:The clinical data of 218 cases with closed multiple organ injuries in abdomen were retrospectively analysed.Results:One hundred and ninety seven cases were cured.Twenty one cases died with an overall mortality of 9.63 percent.Among these death cases,9 cases died of hemorrhagic shock,6 cases died of MOF,4 cases of severe infection and 2 cases of craniocerebral injury or thoracic injury.Postoperative complications occurred in 48 cases.Conclusions:Early and correct diagnosis is the key to elevating the therapeutic effectiveness.The radical measure of improving curative effect is to actively resuscitate shock and perform reasonable operation.Protecting the function of major organs is helpful in preventing MOF during perioperative period.